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논문 기본 정보

자료유형
학술저널
저자정보
Jose Manuel Fernando Ignacio (University of the Philippines Manila) Katrina Hannah Dizon Ignacio (Philippine General Hospital)
저널정보
대한척추외과학회 Asian Spine Journal Asian Spine Journal Vol.12 No.2
발행연도
2018.1
수록면
380 - 387 (8page)

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Pulmonary cement embolism (PCE) can follow cement augmentation procedures for spine fractures due to osteoporosis, traumatic injuries, and painful metastatic lesions. PCE is underreported and it is likely that many cases remain undiagnosed. Risk factors for PCE have been identified, which can help alert clinicians to patients likely to develop the condition, and there are recommended techniques to reduce its incidence. Most patients with PCE are asymptomatic or only develop transient symptoms, although a few may exhibit florid cardiorespiratory manifestations which can ultimately be fatal. Diagnosis is mainly by radiographic means, commonly using simple radiographs and computed tomography scans of the chest with ancillary tests that assess the patient’s cardiorespiratory condition. Management depends on the location and size of the emboli as well as the patient’s symptomatology. The aim of this review is to raise awareness of the not uncommon complications of PCE following vertebral cement augmentation and the possibility of serious sequelae. Recommendations for the diagnosis and management of PCE are presented, based on the most recent literature.

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